Desire for children and pregnancy risk behavior among HIV-Infected men and women in Uganda

Desire for children and pregnancy risk behavior among HIV-Infected men and women in Uganda
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DOI:
10.1007/s10461-006-9126-2
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发表时间:
2006-07-01
期刊:
影响因子:
4.4
通讯作者:
Bunnell, Rebecca
Bunnell, Rebecca
中科院分区:
医学2区
文献类型:
--
作者:
Nakayiwa, Sylvia;Abang, Betty;Bunnell, Rebecca

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为了确定改善预防艾滋病毒母婴传播(PMTCT)的方法,我们在2003年10月至2004年6月期间对参加乌干达金贾一个艾滋病支助组织的1,092名感染艾滋病毒的男女进行了横断面研究。怀孕风险行为被定义为没有避孕或避孕套的性行为。总体而言,42%的参与者性活跃,33%的人有怀孕风险行为,18%的人想要更多的孩子。男性想要更多孩子的比例几乎是女性的四倍(27%对7%)。在那些有怀孕风险行为的人中,73%的人不想要更多的孩子,并且意外怀孕的风险很高。虽然81%的人知道可以预防艾滋病毒的母婴传播,但只有22%的人认为,接受预防母婴传播治疗的感染艾滋病毒的妇女仍然可以生下感染艾滋病毒的孩子。缺乏MTCT的信息,参加了这个项目
To identify ways to improve prevention of mother-to-child transmission (PMTCT) of HIV, we conducted a cross-sectional study of 1,092 HIV-infected men and women attending an AIDS support organization in Jinja, Uganda, between October 2003 and June 2004. Pregnancy risk behavior was defined as having sex without contraceptive or condom. Overall, 42% of participants were sexually active, 33% practiced pregnancy risk behavior, and 18% desired more children. Men were almost four times to want more children than the women (27% vs. 7%). Among those practicing pregnancy risk behavior, 73% did not want more children and were at high risk for unwanted pregnancies. Although 81% knew that mother-to-child transmission of HIV could be prevented, only 22% believed that an HIV-infected woman who received PMTCT therapy could still deliver an HIV-infected child. Lack of MTCT information, having attended the program for